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Study
Suicide and suicide attempts on hospital grounds and clinic areas.
August 11, 2021
Mills PD, Watts BV, Hemphill RR. J Patient Saf. 2021;17(5):e423-e428.
Researchers reviewed 15 years of root cause analysis reports of all instances of suicide and suicide attempts on Veterans Health Administration (VHA) grounds. Forty-seven suicides or suicide attempts were identified, and primary root causes included communication breakdown and a need for improved suicide interventions. The paper includes recommended actions to address the root causes of attempted and completed patient suicides.
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